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WELL MONITORING/SAMPLING <br /> FIELD DATA SHEET <br /> Client/ <br /> Facility # s tl Job#: Vz> 17 <br /> Address: 170o L• L9 s 4%/e Date: 2— Z Z <br /> 17 <br /> City: _1NI d 15 tP cam. _ Sampler: 3d e- <br /> Well ID wlW— Z Well Condition: <br /> Well Diameter Hydrocarbon Amount Bailed <br /> Thickness. lfeet) (producilwater) C7- (gallons) <br /> Total Depth _ 17 ` Volume 2" - 0 17 3'= 038 4' = 0 66 <br /> Factor(VF) 6"= 1.50 12" = S 80 <br /> Depth to Water i4 n. <br /> { 3 X VF d r 7 = 2 7 X 3 (case volume) = Estimated Purge Volume _l) <br /> Purge Disposable Bailer Sampling �____ <br /> Equipment: Bailer EquipmentEsposabl-e is ler/ <br /> Stack aster <br /> c on Pressure Bailer <br /> rundfos Grab Sample <br /> Other Other <br /> Starting Time 10 Weather Conditions ' <br /> Sampling Time le Qo A "d Water Color C,( Odor <br /> Purging Flow Rate I aom Sediment Description 4 gp „< & <br /> Did well de-water? If yes; Time. Volume. al <br /> Time Volume pH Conductivity 1 dL�?emperature D O ORP Alkalinity <br /> (921) µmhos/cm X OF (mg/L) (mv) (Ppm) <br /> 10 's L _ ,; '7 '-7c <br /> 10 34 � 7.3z <br /> LABORATORY INFORMATION <br /> SAMPLE: ID CONTAINER REFRIG PRESERV TYPE LABORATORY ANALYSES <br /> M Uu — V Y K C L SEQUOIA TPH(G)/btexlmtbe <br /> COMMENTS: <br /> yf7.lt.waahm <br />